Evidence map›Paper›PMID 41084188›Full record

ArticleEpidemiology and health2025

A large-scale norovirus outbreak associated with kimchi consumption across multiple schools in a Korean city in 2024.

Eunkyung Park, Sumi Cho, Eunyoung Kim, Jung Im Park, Ju-Hyung Lee, Jin Gwack

Abstract read
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Article in Epidemiology and health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Eunkyung ParkDivision of Infectious Disease Response, Honam Regional Center for Disease Control and Prevention, Gwangju, Korea.
Sumi ChoJeonbuk State Center for Infectious Disease Control and Prevention, Jeonju, Korea.
Eunyoung KimDivision of Infectious Disease Response, Honam Regional Center for Disease Control and Prevention, Gwangju, Korea.
Jung Im ParkJeonbuk State Center for Infectious Disease Control and Prevention, Jeonju, Korea.
Ju-Hyung LeeJeonbuk State Center for Infectious Disease Control and Prevention, Jeonju, Korea.
Jin GwackJeonbuk State Center for Infectious Disease Control and Prevention, Jeonju, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesNorovirus is a major global concern for foodborne outbreaks. We investigated a large-scale norovirus outbreak in a Korean city to identify the source of infection and implement control measures.

methodsA retrospective cohort study was conducted. Data were collected from questionnaires and laboratory test results, along with an environmental investigation. Human and environmental samples were obtained.

resultsThe overall attack rate was 20.2%, with 862 cases among 4,276 individuals exposed across 24 affected schools. Norovirus GII.17 was detected in symptomatic individuals, asymptomatic food handlers, and cabbage kimchi products. Kimchi consumption was significantly associated with illness (relative risk, 3.85; 95% confidence interval [CI], 3.12 to 4.74) and was confirmed as the outbreak source. In multivariate logistic regression, both high school status (odds ratio [OR], 1.49; 95% CI, 1.11 to 2.00) and kimchi consumption (OR, 5.56; 95% CI, 4.24 to 7.30) emerged as significant risk factors.

conclusionsKimchi contamination likely occurred either through ingredients or food handlers during the manufacturing process. This study provides key insights for prevention and rapid response to norovirus outbreaks, emphasizing the vulnerability of school food services. We highlight the importance of stringent food safety practices and routine training for food handlers, particularly in manufacturing facilities, given the role of asymptomatic carriers.

Indexed as

BrassicaCaliciviridae InfectionsDisease OutbreaksFoodborne DiseasesGastroenteritisNorovirusAdolescentAdultChildFemaleHumansMaleRepublic of KoreaRetrospective StudiesRisk FactorsSchoolsDisease outbreakFoodborne diseasesNorovirus

Identifiers

PMID41084188
PMCPMC12869137

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.